Brewbaker Primary School's Device Survey for Virtual Learning *WAITING LIST*
This form will help Brewbaker Primary know which students will need a Chromebook to use for virtual learning. If you have your own personal device (laptop, iPad, desktop, Chromebook, etc.) you may use it instead. If you do need to borrow one please fill out the form below. You may use the form for up to 4 of your children that attend Brewbaker Primary only. *This is the waiting list sign up. We will contact you via email when your device is ready for pick-up*
Email address *
Parent/Guardian First and Last Name. *
Current Phone Number *
How many children are enrolled at BPS? *
1st child enrolled first name and last name *
1st child enrolled grade *
2nd child enrolled first name and last name
2nd child enrolled grade
Clear selection
3rd child enrolled first name and last name
3rd child enrolled grade
Clear selection
4th child enrolled first and last name
4th child enrolled grade
Clear selection
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